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General NPI Number Information
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NPI Number | 1003044579
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Entity Type | Individual
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Provider Name | VICTOR MANUEL CHAVEZ SR. D.C., L.AC.,M.A.O.M.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2009
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Last Update Date | 04/19/2010
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Provider Practice Location Address
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Address Line | 5670 N FRESNO ST STE 106
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City | FRESNO
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State | CA
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Zip | 93710-8330
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Country | US
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Telephone | 559-650-0480
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Fax |
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Provider Business Mailing Address
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Address Line | 459 9TH ST
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City | ORANGE COVE
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State | CA
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Zip | 93646-2243
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Country | US
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Telephone | 559-375-4812
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC-30888
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 13362
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License Number State | CA
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